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首页> 外文期刊>Revista de Saúde Pública >Descriptive study of the Specialized Care of the Spanish Health System
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Descriptive study of the Specialized Care of the Spanish Health System

机译：西班牙卫生系统专业护理的描述性研究

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OBJECTIVE The objective of this study is to analyze the trend of the Key Indicators of the National Health System of Spain and its autonomous communities, related to Specialized Care, from the publication of the Law of Cohesion and Quality. METHODS This is an ecological study of temporary series of Spain and its autonomous communities from 2003 to 2014. We have analyzed 10 indicators related to Specialized Care (percentage of expenditure, professionals, waiting lists, surgical activity, average duration, infections, and mortality) using the Prais-Winsten regression method. We have obtained data from the health information system of the Spanish Ministry of Health, Social Services, and Equality. RESULTS Specialized care expenditure (APC = 0.059, 95%CI 0.041–0.074), number of medical professionals (APC = 0.0006, 95%CI 0.0003–0.0009) and nursing professionals (APC = 0.001, 95%CI 0.0005–0.0016), hospital infections (APC = 0.0003, 95%CI 0.0002–0.0004), and in-hospital mortality (APC = 0.0008, 95%CI 0.0006–0.001) had an increasing trend in Spain. Average duration presented a decreasing trend (APC = -0.0017, 95%CI -0.002– -0.0014). The trend of waiting lists (specialized appointment and non-urgent surgical interventions) was static. The trend of these indicators varied in the Autonomous Communities. CONCLUSIONS We have observed a non-compliance with the principles of equity and quality of the services offered. Increased aging, technological development, and inadequate strategies taken to reduce health costs may be the main causes.
机译：目的本研究的目的是从《凝聚力和质量法》的发布中分析与专门护理有关的西班牙国家及其自治社区国家卫生系统关键指标的趋势。方法这是2003年至2014年西班牙临时社区及其自治社区的一项生态研究。我们分析了与专科护理有关的10项指标（支出百分比，专业人员，候补名单，手术活动，平均持续时间，感染和死亡率）使用Prais-Winsten回归方法。我们已经从西班牙卫生，社会服务与平等部的健康信息系统获得了数据。结果医院的专业护理支出（APC = 0.059，95％CI 0.0041–0.074），医疗专业人员（APC = 0.0006，95％CI 0.0003–0.0009）和护理专业人员（APC = 0.001，95％CI 0.0005–0.0016）西班牙的感染（APC = 0.0003，95％CI 0.0002-0.0004）和医院内死亡率（APC = 0.0008，95％CI 0.0006-0.001）呈上升趋势。平均持续时间呈下降趋势（APC = -0.0017，95％CI -0.002--0.0014）。轮候名单的趋势（专职任命和非紧急手术干预）是静态的。这些指标的趋势在自治区中有所不同。结论我们观察到不遵守公平原则和所提供服务的质量。主要原因是老龄化加剧，技术发展以及减少健康成本的策略不足。

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